Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $120.28 / $178.77	Professional		$80.89	$120.28	$178.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $149.52 / $185.21	Professional		$119.10	$149.52	$185.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $111.17 / $111.17	Professional		$94.49	$111.17	$111.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $139.37 / $139.37	Facility		$115.93	$139.37	$139.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.94 / $659.65 / $659.65	Facility		$225.94	$659.65	$659.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $827.90 / $1,062.59	Professional		$827.90	$827.90	$1,062.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $148.16 / $260.30	Facility		$107.32	$148.16	$260.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $176.16 / $234.04	Professional		$144.69	$176.16	$234.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $170.00 / $330.40	Professional		$147.80	$170.00	$330.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $148.16 / $277.81	Facility		$105.39	$148.16	$277.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $280.54	Professional		$115.76	$115.76	$280.54
United Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $145.13 / $233.78	Professional		$107.83	$145.13	$233.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $125.99 / $172.86	Professional		$107.39	$125.99	$172.86